MR. JON ROBERTS (NPI# 1861819385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861819385 |
| Entity Type | Individual |
| Full Name | MR. JON ROBERTS |
| Credential | CADC II, QMHA |
| Practice Address |
1345 Birch Ave Cottage Grove OR 97424-1416 |
| Practice Telephone | 5417674184 |
| Mailing Telephone | 5417674184 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043362510 | Jon Douglas Roberts | Chiropractor | 239a Church St, Alexander City, AL 35010-2515 | 2007-01-17 |
| 1962584896 | Jon W. Roberts | Family Medicine | Highway 99 & O'banion Street, Birch Tree, MO 65438 | 2006-10-19 |
| 1104293802 | Jon Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2015-08-28 |
| 1568696235 | Jon Brian Roberts | Surgery | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2009-05-11 |
| 1114933272 | Jon Elliot Roberts | Pediatrics | 3533 S Alameda St, Sloan Bldg, Corpus Christi, TX 78411-1721 | 2006-07-31 |
| 1265420178 | Jon D Roberts | Emergency Medicine | 1600 E Broadway, Columbia, MO 65201-5844 | 2005-10-13 |
| 1366445835 | Jon A Roberts | Radiology | 7695 Poplar Pike, Suite 101, Memphis, TN 38138-5947 | 2005-05-27 |
| Street Address |
1345 BIRCH AVE |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629141080 | Shirley Daine Howell | Occupational Therapy Assistant | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2006-11-15 |
| 1497362040 | Ashley Marie Kincaid | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-28 |
| 1164039897 | Lauren Appell | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-09-27 |
| 1720603285 | Jones David Hollister | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-06-10 |
| 1902421530 | Trevor Whitbread | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2020-06-09 |
| 1134766108 | Amy Mangum | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2019-12-09 |
| 1659922466 | Peter Christopher Deegan | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2019-09-23 |
| 1225687254 | Mary Peckenpaugh | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2019-09-11 |
| 1831758887 | Amanda Harp | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2019-06-12 |
| 1376108969 | Haley Cochell | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093372302 | Ann R Cook | Counselor | 7501 80th St S Ste 108, Cottage Grove, MN 55016-4121 | 2019-05-22 |
| 1578085924 | Lennee Clark | Counselor | 75 S 5th St, Cottage Grove, OR 97424-2008 | 2017-07-07 |
| 1952769093 | Scott Reynolds | Counselor | 710 Adams Ave, Cottage Grove, OR 97424-2117 | 2016-02-03 |
| 1427370139 | Valeria Lf Clarke | Counselor | 55 S 17th St, Cottage Grove, OR 97424 | 2010-02-22 |
| 1538293915 | Avalon Programs LLC | Counselor | 7501 80th Street South, Suite 102, Cottage Grove, MN 55016 | 2007-03-15 |
| 1447721006 | Katie Ann Lytle | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2018-12-07 |
| 1689179954 | Nancy Lynn Jordan | Counselor | 8451 E Point Douglas Rd S, Cottage Grove, MN 55016-3331 | 2018-03-28 |
| 1497262851 | Maryah L Brasher | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2018-01-08 |
| 1518496496 | Rebecca Fitkin | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2017-06-05 |
| 1598203119 | Gina Marie Breci | Counselor | 8451 E Point Douglas Rd S, #30, Cottage Grove, MN 55016-3331 | 2017-02-02 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on MR. JON ROBERTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.